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1184178782
KELLY COOPER-SWENSON
OTSEGO, MN
NPI
1184178782
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-08-11
Last Update Date
2016-08-11
Business Address
-- KELLY COOPER-SWENSON MA
16201 90TH ST NE STE 200
OTSEGO, MN 55330-7464
Phone number: 763-746-9492
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Mailing Address
-- KELLY COOPER-SWENSON MA
1900 SILVER LAKE RD NW STE 110
NEW BRIGHTON, MN 55112-1789
Phone number: 651-379-1718
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